Evidence map›Paper›PMID 32337020›Full record

ArticlePerioperative medicine (London, England)2020

Perioperative Quality Initiative (POQI) consensus statement on fundamental concepts in perioperative fluid management: fluid responsiveness and venous capacitance.

Greg S Martin, David A Kaufman, Paul E Marik, Nathan I Shapiro, Denny Z H Levett, John Whittle, David B MacLeod, Desiree Chappell, Jonathan Lacey, Tom Woodcock and 11 more

Abstract read
In one paragraph

Article in Perioperative medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Goal-directed therapy: what is the goal again?Perioperative medicine (London, England) · 2025
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  17. Aiming for zero fluid accumulation: First, do no harm.Anaesthesiology intensive therapy · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Greg S MartinDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory Critical Care Center, Emory University School of Medicine, Grady Health System, Atlanta, GA USA.
David A Kaufman2Division of Pulmonary, Critical Care, and Sleep Medicine, NYU School of Medicine, New York, NY USA.
Paul E Marik3Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA USA.
Nathan I Shapiro4Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA USA.
Denny Z H Levett5Critical Care Research Group, NIHR Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust/University of Southampton, Southampton, UK.
John Whittle6Department of Anesthesiology, Division of General, Vascular and Transplant Anesthesia, Duke University School of Medicine, Duke University Medical Center, Durham, NC USA.
David B MacLeod6Department of Anesthesiology, Division of General, Vascular and Transplant Anesthesia, Duke University School of Medicine, Duke University Medical Center, Durham, NC USA.
Desiree ChappellTopMedTalk, London, UK.
Jonathan Lacey8Institute of Sport Exercise & Health, University College London, London, UK.
Tom Woodcock9University Hospitals Southampton, Southampton, UK.
Kay Mitchell10Respiratory Biomedical Research Unit, University of Southampton, Southampton, England.
Manu L N G Malbrain11Department of Intensive Care, University Hospital Brussels, Jette, Belgium and Facultyof Medicine and Pharmacy, Vrije Universiteit Brussels, Brussels, Belgium.ORCID https://orcid.org/0000-0002-1816-5255
Tom M WoodcockElsevier R&D Solutions, 1600 JFK Blvd, Philadelphia, PA 19103 USA.
Daniel Martin13Intensive Care Unit and Division of Surgery and Interventional Science, Royal Free Hospital, London, UK.
Chris H E ImrayVascular and Renal Tranplant Surgeon, National Institute of Health Research Clinical Research Facility, Coventry, UK.
Michael W Manning6Department of Anesthesiology, Division of General, Vascular and Transplant Anesthesia, Duke University School of Medicine, Duke University Medical Center, Durham, NC USA.
Henry HoweTopMedTalk, London, UK.
Michael P W Grocott5Critical Care Research Group, NIHR Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust/University of Southampton, Southampton, UK.
Monty G Mythen15UCL/UCLH National Institute of Health Research Biomedical Research Centre, London, UK.
Tong J Gan16Department of Anesthesiology, Stony Brook University, Stony Brook, NY USA.
Timothy E Miller6Department of Anesthesiology, Division of General, Vascular and Transplant Anesthesia, Duke University School of Medicine, Duke University Medical Center, Durham, NC USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal fluid therapy in the perioperative and critical care settings depends on understanding the underlying cardiovascular physiology and individualizing assessment of the dynamic patient state.

methodsThe Perioperative Quality Initiative (POQI-5) consensus conference brought together an international team of multidisciplinary experts to survey and evaluate the literature on the physiology of volume responsiveness and perioperative fluid management. The group used a modified Delphi method to develop consensus statements applicable to the physiologically based management of intravenous fluid therapy in the perioperative setting. DISCUSSION: We discussed the clinical and physiological evidence underlying fluid responsiveness and venous capacitance as relevant factors in fluid management and developed consensus statements with clinical implications for a broad group of clinicians involved in intravenous fluid therapy. Two key concepts emerged as follows: (1) The ultimate goal of fluid therapy and hemodynamic management is to support the conditions that enable normal cellular metabolic function in order to produce optimal patient outcomes, and (2) optimal fluid and hemodynamic management is dependent on an understanding of the relationship between pressure, volume, and flow in a dynamic system which is distensible with variable elastance and capacitance properties.

Indexed as

Fluid responsivenessGoal-directed fluid therapyPerioperative fluid managementPhysiologyVenous capacitance

Identifiers

PMID32337020
PMCPMC7171743

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.